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Growth & Development 2 (Psychology of Older Adults (Communicating w/…
Growth & Development 2
Child & Adolescent GD
Physical Development
1-2 Years
Weight ~ 3 times birth
Body shape is more adult-like appearance
abdomen protrudes, back is swayed
Crawls/stands alone
unassisted walk by 2yrs
Drinks from glass or cup(spills)
2-3 Years
more erect posture
brain 80% full size
minor balancing skills - one foot!
Grasps large crayon with fist; scribbles enthusiastically
Enjoys pouring and filling activities-sand, water
3 Years
Males 53% of adult height v Females 57% of adult height
Legs grow faster than arms, and neck appears
Jumps on the spot, walk up stairs unassited
brushed own teeth (not thoroughly)
potty trained
4 Years
Climbs ladders, trees, playground equipment
More accurate at hitting nails and pegs with hammer
Walks in a straight line
5 Years
Head size is complete, Body is adult-like in proportion
Walks backward
Builds 3-D objects with cubes by copying a model
Begin to colour within the lines. Cuts on the line with scissors
6 Years
Weight gain reflects significant increase in muscle mass
Heart rate and respiratory rates ~ adult
Learn to ride a bicycle, swim, swing a bat, or kick a ball
Language Development
1-2 Years
Use one word to convey an entire thought: "me" may mean I want more or my turn
Responds to simple questions with "yes" or "no”
Acquires, uses five to fifty words: words refer to animals, food, and toys.
2 Years
Realizes language is effective for getting responses to needs and preferences
= Is able to verbalize needs.
Receptive language is more developed than expressive language
Repeatedly asks, "What's that?"
3-4 Years
Uses prepositions
Produces elaborate sentence structures
Begins to correctly use the past tense of verbs
States first and last name, gender, siblings' names
Recites and sings simple songs and rhymes
5 Years
Tells a familiar story from pictures in a book
Knows some colours
Knows town, birthday, parents names
Can carry on conversation and ask questions
6 Years
?
Birth
non language sounds, crying
Social Development
0-18 Months
Total dependent on and trusting of parent
1-2 Years
Often refuses to cooperate with daily routines
May have a tantrum when things go wrong
Exceedingly curious about people and
surroundings
2 Years
Becoming independent
Likes companionship of other children, but does not
play cooperatively
Often imitates adult actions in play + enjoys adult attention
3 Years
Likes to please
Close attachment to parent
Shows signs of empathy and caring: comforts another child if
hurt or frightened
4 Years
Strong willed
Establishing own identity
Moods change rapidly and unpredictably
7-10 Years
Friendships with own gender
Increase in fine motor skills, ball skills
Adolscent
Growth spurt, puberty
developing self responsibility
influenced by peer pressure
2-3 Years
Impatient; finds it difficult to wait
Bossy with parents and caregivers; orders them around
wants everything "just so"
routines carried out exactly as before
9-10 Years
Quite independent
Self motivated
Psychology of Older Adults
Communicating w/ pt who are cognitive impairement
= Non-verbal communication
Reduce distractions
Approach from where they can see you
Calm and caring
= Voice and language
Attend to tone and pitch of your voice
Avoid jargon
Use short sentences
Keep it simple stupid!
= Treating w/ respect
Remember that they are unique individuals
Areas of diversity
Sex ratio (predomin women)
Marital Status
Living arrangements
Income
Physical health
Ability to carry out activities of daily living
Stressors
Fears of contd. Decline
Anxiety/shame about increased dependency
Disruption of homeostasis
Unfamiliar environment
Youth vs Age
by 2051 1 in 4 people will be 65+
Psychological Development of Child
Physical domain
body size, body proportions, appearance, motor development, physical health
Cognitive Domain
thought processes and intellectual abilities including attention, memory, problem solving, imagination, creativity, academic and everyday knowledge, language
Social/Emotional Domain
self-knowledge (self-esteem, sexual identity, ethnic identity, understanding and expression of emotions, self-regulation, temperament, understanding others, interpersonal skills, and friendships.
Child Development Theories
(Psychoanalytical theory)Sigmund Freud
Personality is formed through conflicts among three fundamental structures of the human mind: the id, ego and superego
(Cognitive theory) Piaget theory
Through active involvement and interactions children will understand and develop through:
Adaptation – How new information is handled
Assimilation – incorporation new information into existing cognitive structures
Accommodation – adjusting existing cognitive structures to fit the new informatio
(Social cultural theory) Leo Vygotsky theory
Knowledge is socially constructed, despite children being active learners. Cultural values and customs dictate what is important to learn
(Ecological theory) Urie Bronfenbrenner
The environment affects the child and the child influences the environment. These interrelationships among the environment-systems shape a child's development.
(Psychosocial theory) Erik Erikson theory
Eight stages of development that a healthy human should pass through
Dental Evolution
M1 Eruption = Juvenile period, coincides with the weaning of primates/early hominids
In contemporary humans weaning
age2
and M1 eruption
age7
Third molar
Agenesis
Genetic influence = PAX 9 gene
OR
“Inhibitory cascade model" - 6s>7s>8s
Impaction
Reduction in the bony areas of the facial skeleton that anchor the teeth in the jaws
Reduction in wear rates
Paradox of Dental Wear
Mesial Drift
Continuous eruption
Incisor lingual tipping
Anterior Occlusion
Forward shift of the mandibular teeth
NCCLs (Non-carious cervical lesions)
Worn teeth have a different wear distribution than non-worn teeth.
Therefore these non-worn teeth are exposed more accumulative stresses that ever before